The Performance Rehab Authority

Dr. Roger St. Onge

Welcome to the Performance Rehab Authority podcast, where we challenge the norms of traditional physical therapy and share our journey toward elevating the traditional PT practice. We're Dr. Rog and Dr. Caitlin, the founders of Move Athletics, and we're passionate about creating a performance-based approach to physical therapy. Each week we're bringing our years of experience in performance-based physical therapy to every episode.

  1. HACE 18 H

    Business Coaching Failed Him. PRA Fixed The Real Problem

    Seeing 6 patients a day and still feeling fried? It might not be “volume” – it might be your clinical ceiling. Dan ran a cash practice, did multiple business masterminds, and still felt stuck getting active, chronic patients past 75% better. In this episode, he breaks down how shifting his clinical framework – especially for the spine – changed everything. You’ll learn: Why burnout can come from clinical uncertainty, not just high volume How business coaching ignored the real constraint: his ability to hit true root cause The specific gaps PRA filled in his spine reasoning and patient communication How better evals and clearer explanations increased his cash conversion rate Why most “complex” ortho cases aren’t actually complex once you see the pattern The personal side: going from dreading sessions to waking up genuinely happier to treat

    28 min

  2. HACE 5 DÍAS

    13 Years Of Imposter Syndrome To Confident PT

    If you’ve ever gone home feeling like you’re pretending to be a PT, this is your episode. Aaron had 13+ years of imposter syndrome, bouncing between sports med, pediatrics, schools, and then starting New Day PT while that cloud followed him home. You’ll learn: How a decade of “I’m faking it” impacted his marriage, family, and work Why symptom-chasing and weak eval systems kept his imposter feelings alive How PRA’s myotome-based framework changed his evals and treatment clarity The difference between telling patients what you “think” vs showing them with testing How better clinical results naturally improved buy-in, retention, and packages in his practice What finally pushed him to invest in himself despite family and financial pressure

    26 min

  3. 10 MAR

    From Whack‑and‑Crack to Root‑Cause Rehab (Chiro Story)

    If you’re a chiro or PT stuck in an insurance mill, doing the same 5‑minute routine and hoping people “get better,” this will sound familiar. Ashlee started as an athletic trainer, became a chiropractor, and found herself in a volume model where people weren’t truly improving—and she knew there had to be more. Here’s how she built a rehab‑focused practice and a reasoning system that actually finds the root cause. In this interview, you’ll see how: She went from “whack‑em crack‑em robot” in an insurance model to opening her own rehab‑driven chiro practice. Starting rehab with only basic AT scripts left her lost on anything outside post‑op protocols. Studying PRA while seeing ~130 patients a week gave her the framework in her head before she ever went full‑time on her own. She now uses discovery calls plus a structured eval to know the likely driver before a patient even walks in. Flow sheets and algorithms let her step out of the treatment room, double‑check her reasoning, and show patients she’s not guessing. One recent case (elbow pain that turned out to be neck‑driven) illustrates how old her would’ve chased the elbow for weeks, while new her fixed it with a few minutes of cervical work. Overcoming the fear of investing in herself changed her view of money from “can I afford this?” to “can I afford not to build this skill set?”.

    17 min

  4. 5 MAR

    Manual Therapist Fixing “Failed PT” Cases With PRA

    If you’re honest, are you actually getting the outcomes you thought you would when you became a clinician?In this interview, Josh shares how he went from frustrated, technique-heavy manual work to a clear root‑cause framework that helps him clean up chronic pain in people who’ve “tried everything.” You’ll learn: Why seeing patients after 10 PTs and surgeries exposed his own skill ceiling. How PRA’s myotome-based framework helped him stop chasing symptoms and find true drivers. How he combines root-cause reasoning with his neural pairing / soft-tissue skill set. The way he educates patients on the injury cycle, load, and mechanical stressors (like walking in Paris). How he uses guarantees and clear expectations to build trust in a cash-pay practice. The uncomfortable truth: when you “can’t help” someone, it usually means you’ve hit your current knowledge limit.

    28 min

  5. 3 MAR

    From “I’m Not Your Person” To Confident With Ortho

    Feeling like the “wrong” clinician every time an ortho patient hits your schedule? You’re not alone. In this interview, Kylie shares how she went from anxious, overthinking ortho evals to running a clear system that gets faster outcomes for complex patients.You’ll learn: What it feels like to be thrown into ortho without a real framework. The dead‑end of piecing together random courses vs a full algorithm. How she started using PRA’s system the very next day in clinic. The impact on her confidence and stress level treating painful spines. How explaining the “light at the end of the tunnel” changes patient buy‑in. Her honest take on the financial discomfort of joining PRA (and if it was worth it).

    16 min

  6. 26 FEB

    The Elbow & Hip Cases That Exposed My Eval Gaps

    If you’ve ever sat in an eval silently thinking “I have no idea what’s going on,” you’ll see yourself in this conversation. Matt went from engineer to PT, then from relying on SFMA and dry needling to feeling like a failure on complex cases… to running a growing out-of-network clinic built on clarity, outcomes, and referrals. In this episode, you’ll see how he: Hit the ceiling of SFMA + local tissue protocols when chronic, weird-pattern pain didn’t respond Lost patients and confidence on stubborn elbow and hip cases he now recognizes as spine-driven Used PRA to learn systematic cervical and lumbar clearing so “elbow” and “hip impingement” finally made sense Stopped feeling guilty charging premium rates because he could explain and prove his reasoning Turned painful failures into fuel instead of staying stuck in shame early in his career Opened a performance-forward clinic inside a CrossFit gym and had a record month by letting his skillset be his best marketing

    27 min

  7. 24 FEB

    From Trial‑and‑Error PT to Day‑1 Clarity With PRA

    If you’ve ever thought “I can help function, but I’m not sure I can help pain,” you’re in the same boat Jensen was in. She left school feeling like she knew how to pass tests and not hurt anyone… then froze when a real human walked in. This interview walks through how she stopped “wait and see” PT and built a reasoning system she can trust. In this interview, you’ll see how: The jump from acute athletic training to chronic outpatient cases left a big gap in her reasoning Trial‑and‑error, “we’ll see how it goes” treatment and pattern recognition weren’t enough for complex, long‑standing pain PRA’s framework gave her a way to find the true driver instead of just doing more “good exercises” One simple lifestyle change plus targeted work fixed a patient’s nagging pain in days instead of months Her mindset flipped from “it’s not my fault school didn’t teach me this” to “it is my responsibility to close this gap” Clinical Mastery Week let her test the waters, but coaching, accountability, and depth were what actually changed how she practices PT clinical reasoning system, physical therapist testimonial PRA, pattern recognition vs clinical reasoning PT, trial and error treatment physical therapy, outpatient sports PT confidence, can PTs fix pain vs function, Performance Rehab Authority interview, root cause physical therapy evaluation, how to stop guessing in PT evals, continuing education that changes practice PT, clinical mastery week PRA, sports PT Columbus Ohio, athletic trainer to PT transition, chronic ankle pain root cause PT, mapping aggravating activities PT

    22 min

  8. 19 FEB

    From Burned‑Out PT to Confident Clinician With PRA

    If you’ve ever been so over the system that you considered leaving PT altogether, Lisa’s story is for you.After 14+ years across outpatient, inpatient, ED, and hospital work, she was ready to walk away before deciding to bet on herself and her clinical brain.Inside PRA, she found a reasoning framework that made everything finally make sense again. In this interview, you’ll see how: She went from hospital burnout and “I might just be a school secretary” to running a clinic she actually loves Moving beyond pattern recognition helped her stop treating only what hurt and start finding the true driver faster A simple shift (not skipping the neck just because it’s pain‑free) unlocked clearer wins in complex upper‑quarter cases She used traction and positional testing to show an airport worker with hand pain that the real source was her neck, with pain gone after one session Lifting mechanics training finally got her CrossFitter husband to listen and reduced his deadlift‑related back pain PRA became the first CE in years that felt cohesive, easy to integrate daily, and actually exciting to learn

    17 min
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Welcome to the Performance Rehab Authority podcast, where we challenge the norms of traditional physical therapy and share our journey toward elevating the traditional PT practice. We're Dr. Rog and Dr. Caitlin, the founders of Move Athletics, and we're passionate about creating a performance-based approach to physical therapy. Each week we're bringing our years of experience in performance-based physical therapy to every episode.

Información

  • Creador
    Dr. Roger St. Onge
  • Años de actividad
    2023 - 2026
  • Episodios
    74
  • Clasificación
    Explícito
  • Copyright
    © Dr. Roger St. Onge
  • Mostrar sitio web
    The Performance Rehab Authority